84 FISTULA AND POLL-EVIL 
arranged in wads of different sizes so that it 
can be packed into the recesses piece by piece 
where it will press directly upon the bleeding 
vessels and thus arrest the hemorrhage at once. 
If indifference is displayed in this connection, 
the bleeding may force its way between the 
Fic. 8—THE DrarnaGeE TusBEe INSERTED. 
This shows the position of the drainage tube in an atypical 
case of fistula before the would is sutured. In typical fistula 
the tube would be inserted more anterior, making its exit at 
the point marked NX. 
layers of the surrounding tissues. Once well 
packed the wound is closed with sutures deeply 
inserted into each lip. The wound must be 
closed tight to prevent any further blood loss. 
Dressing. When the patient rises to its feet, 
its body is washed free of all blood accumula- 
